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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml"
      xmlns:h="http://java.sun.com/jsf/html"
      xmlns:f="http://java.sun.com/jsf/core"
      xmlns:c="http://java.sun.com/jsp/jstl/core">
    <f:view>
        <head>
            <link type="text/css" href="../common/css/ui.panel.css" rel="stylesheet" />

            <meta http-equiv="Content-Type" content="text/html; charset=UTF-8"/>
            <title>Admision Rapida</title>

            <script type="text/javascript" src="../common/js/admisionrapida.js"></script>

            <script type="text/javascript" src="../common/js/jquery.timeentry.js"></script>
            <link type="text/css" href="../common/css/jquery.timeentry.css" rel="stylesheet" />
            <script type="text/javascript" src="../common/js/jquery.validate.js"></script>
            <script type="text/javascript" src="../common/js/ui.panel.js"></script>

            <style>
                #tab_estancia { height: 370px; }
                .tabs-bottom { position: relative; }
                .tabs-bottom .ui-tabs-panel { height: 320px; overflow: auto; }
                .tabs-bottom .ui-tabs-nav { position: absolute !important; left: 0; bottom: 0; right:0; padding: 0 0.2em 0.2em 0; }
                .tabs-bottom .ui-tabs-nav li { margin-top: -2px !important; margin-bottom: 1px !important; border-top: none; border-bottom-width: 1px; }
                .ui-tabs-selected { margin-top: -3px !important; }
            </style>



        </head>
        <body>


            <div style="width: 100%; text-align: center;">

                <form id="frm-adm-pac">

                    <div id="panel-00">

                        <h3 class="ui-widget-header"> 
                            Datos del paciente
                        </h3>   

                        <table width="100%" cellpadding="0" >
                            <tr class="ui-widget-header">                                    

                                <td>
                                    Fecha
                                </td>

                                <td>
                                    Identificaci&oacute;n
                                </td>

                                <td>
                                    Nombre Completo
                                </td>

                                <td>
                                    Edad
                                </td>

                                <td>
                                    Sexo 
                                </td>    

                                <td>
                                    Regimen
                                </td>

                                <td style="display: none">
                                    Nivel
                                </td>
                            </tr>

                            <tr>                                    
                                <td>                                        
                                    <input size="12" type="text" id="fec_adm" />
                                </td>

                                <td>
                                    <input size="16" type="text" id="identificacion_adm" />
                                    <input type="hidden" id="idpaciente_adm" name="idpaciente_adm" value="" />
                                    <input type="hidden" id="idmanual_adm" value="" />

                                    <!--se sobreescribe con idcps-->
                                    <input type="hidden" id="idcontrato_adm" value="" />
                                </td>

                                <td>
                                    <input size="38" type="text" id="nombres_adm"/>
                                </td>

                                <td>                                        
                                    <input size="1" type="text" id="edad_adm" />
                                </td>

                                <td>
                                    <input size="1" type="text" id="sexo_adm" />
                                </td>
                                <td>                                        
                                    <input size="13" type="text" id="regimen_adm" />
                                </td>

                                <td style="display: none">
                                    <input size="1" type="text" id="nivel_adm" />
                                </td>
                            </tr>  

                            <tr class="ui-widget-header">  
                                <td colspan="2">
                                    Administradora
                                </td>

                                <td>
                                    Contratos Disponibles
                                </td>

                                <td colspan="4">
                                    Autorizaci&oacute;n
                                </td>

                            </tr>
                            <tr>
                                <td colspan="2" >
                                    <select style="width: 255px" id="id_entidad_adm" name="id_entidad_adm" class="text ui-widget-content"></select>
                                </td>

                                <td>
                                    <select style="width: 290px" id="idcps_adm" name="idcpsadm_adm" class="text ui-widget-content"></select>
                                </td>     

                                <td colspan="4">
                                    <input type="text" size="24" id="autorizacion_adm" value="" />
                                </td>   

                            </tr>

                            <tr class="ui-widget-header">  

                                <td colspan="2">
                                    Causa Externa
                                </td>

                                <td>
                                    Diagn&oacute;stico
                                </td>

                                <td colspan="3">
                                    M&eacute;dico
                                </td>

                            </tr>

                            <tr>

                                <td colspan="2">
                                    <select style="width: 255px" id="id_causaex_adm" name="id_causaex_adm" class="text ui-widget-content"></select>
                                </td>                            

                                <td>
                                    <input type="text" size="38" readonly="true"  maxlength="40" id="codDx_adm" value="" ondblclick="buscarDiag(1)"/>
                                    <input type="hidden" id="idDx_adm" name="idDx_adm" value="" />
                                </td>

                                <td colspan="3">
                                    <select style="width: 196px" id="id_medico_adm" name="id_medico_adm" class="text ui-widget-content"></select>
                                </td>

                            </tr>    


                        </table>


                    </div>
                </form>


                <!--<div id="panel-11">

                    <h4> 
                        Datos del Ingreso
                    </h4> 
                    <table width="100%">

                        <tr class="ui-widget-header ">                            

                            <td colspan="2">
                                Via de Ingreso
                            </td>

                            <td> 
                                Estado Ingreso
                            </td> 

                            <td colspan="2">
                                Unidad Funcional
                            </td>

                            <td>
                                Prioridad
                            </td>         


                        </tr>
                        <tr>

                            <td colspan="2">
                                <select style="width: 256px" id="id_via" name="id_via" class="text ui-widget-content"></select>                          
                            </td>


                            <td>              
                                <select style="width: 145px" id="id_estadoing" name="id_estadoing" class="text ui-widget-content"></select>
                            </td>

                            <td colspan="2">
                                <select style="width: 146px" id="id_undfunc" name="id_undfunc" class="text ui-widget-content"></select>                          
                            </td>

                            <td>
                                <select style="width: 196px" id="id_prioridad" name="id_prioridad" class="text ui-widget-content"></select>   
                            </td>

                        </tr>
                    </table>
                </div>-->




                <!--<div id="panel-admision" style="display: none">

                    <div id="panel-ambulatoria" style="display: none">

                        <h3>Ambulatoria</h3>   

                        <table width="100%"> 
                            <tr class="ui-widget-header">               

                                <td>
                                    Tipo Cuota/ TD
                                </td>

                                <td>
                                    Valor cuota
                                </td>   
                                <td>
                                    Motivo Consulta
                                </td>

                            </tr>
                            <tr>

                                <td>                                        
                                    <select style="width: 256px" id="tipocuota" name="tipocuota" class="text ui-widget-content"></select>    
                                </td>

                                <td>
                                    <input type="text" size="20" id="valorcuota" name="valorcuota" value=""/>
                                </td>

                                <td>
                                    <input type="text" size="42" id="motivo_amb" name="notivo_amb" />
                                </td>

                            </tr>

                        </table>               

                    </div>-->

                <!--<div id="panel-urgencia"  style="display: none">

                    <h3>Urgencia</h3>   

                    <table width="100%">

                        <tr class="ui-widget-header">

                            <td>
                                pabell&oacute;n
                            </td>

                            <td>
                                cuarto
                            </td>

                            <td>
                                Nro Cama
                            </td>

                            <td>
                                Dependencia Func
                            </td>



                        </tr>

                        <tr>

                            <td>
                                <select style="width: 256px" class="text ui-widget-content" id="pabelloningahu" name="pabelloningahu" value="0"></select>
                            </td>

                            <td>
                                <select style="width: 145px" class="text ui-widget-content" id="cuartoingahu" name="cuartoingahu" value="0"></select>
                            </td>

                            <td>
                                <select style="width: 146px" class="text ui-widget-content" id="camaingahu" name="camaingahu" value="0"></select>
                            </td>

                            <td>
                                <select style="width: 196px" class="text ui-widget-content" id="iddependenciau" name="iddependenciau" value=""></select>
                            </td>


                        </tr>
                        <tr class="ui-widget-header">
                            <td>
                                T. Urgencia
                            </td>

                            <td>
                                Condici&oacute;n
                            </td>

                            <td>
                                Tipo Cuota
                            </td>

                            <td>
                                Valor cuota
                            </td>   
                        </tr>
                        <tr>
                            <td>
                                <select style="width: 256px" class="text ui-widget-content" id="id_tipourg" name="id_tipourg" value=""></select>

                            </td>

                            <td>                                        
                                <select style="width: 145px" id="idcondicion" name="idcondicion" class="text ui-widget-content"></select>    
                            </td>

                            <td>                                        
                                <select style="width: 146px" id="tipocuota" name="tipocuota" class="text ui-widget-content"></select>    
                            </td>

                            <td>
                                <input type="text" size="24" id="valorcuota" name="valorcuota" value=""/>
                            </td>

                        </tr>

                    </table>
                </div>-->


                <!--<div id="panel-hospitalizacion" style="display: none">
                    <table width="100%">
                        <h3>hospitalizaci&oacute;n</h3>  
                        <tr class="ui-widget-header"> 

                            <td>
                                pabell&oacute;n                                
                            </td>

                            <td>
                                cuarto                                
                            </td>                                        

                            <td>
                                Nro Cama
                            </td>

                            <td>
                                Dependencia Func
                            </td>                            

                        </tr>

                        <tr>

                            <td>
                                <select style="width: 256px" class="text ui-widget-content" id="pabelloningah" name="pabelloningah" value="0"></select>
                            </td>

                            <td>
                                <select style="width: 145px" class="text ui-widget-content" id="cuartoingah" name="cuartoingah" value="0"></select>
                            </td>

                            <td>
                                <select style="width: 146px" class="text ui-widget-content" id="camaingah" name="camaingah" value="0"></select>
                            </td>

                            <td>
                                <select style="width: 194px" class="text ui-widget-content" id="iddependencia" name="iddependencia" value=""></select>
                            </td>

                        </tr>

                        <tr class="ui-widget-header ">
                            <td colspan="4">
                                T. Estancia
                            </td>    
                        </tr>

                        <tr>
                            <td colspan="4">
                                <select style="width: 756px" class="text ui-widget-content" id="idtipoestancia" name="idtipoestancia" value=""></select>

                            </td>   
                        </tr>



                    </table>
                </div>
            </div>-->


                <!--<div id="panel-acompanante">
                    <h4>Datos Acompan&ntilde;ante</h4>
                    <div>
                        <table width="100%">

                            <tr class="ui-widget-header">                                    

                                <td>
                                    Identificaci&oacute;n / TD
                                </td>

                                <td>
                                    Nombre Completo
                                </td>

                                <td>
                                    Direcci&oacute;n
                                </td>

                                <td>
                                    Tel&eacute;fono
                                </td>

                            </tr>

                            <tr> 
                                <td>
                                    <table>
                                        <tr>
                                            <td>
                                                <input type="text" size="10" ondblclick="buscarPacienteCodigo()" maxlength="20" id="identificacionaco" value=""/>
                                                <input type="hidden" id="idaco" name="idaco" value="" />

                                            </td>
                                            <td>

                                                <select style="width: 120px" readonly ="true"  id="id_tipo_ideaco" name="id_tipo_ideaco" class="ui-widget-content"></select>

                                            </td>

                                            <td>                                        
                                                <img src="../common/img/user_search.png"  onclick="buscarPacienteCodigo()" style="cursor: pointer" alt="buscarPaciente" />                                                    
                                            </td>

                                            <td>
                                                <img src="../common/img/edit-clear.png" onclick="clearPacientecodigo()" style="cursor: pointer" alt="Eliminar" /> 
                                            </td>
                                        </tr>
                                    </table>
                                </td>


                                <td>
                                    <input type="text" size="34" readonly="true" id="nombresaco" value="" />

                                </td>

                                <td>
                                    <input type="text" size="12" readonly="true" id="direccionaco" value=""/>

                                </td>


                                <td>
                                    <input type="text" size="7" readonly="true" id="telefonoaco" value=""/>

                                </td>

                            </tr>
                        </table>

                    </div>

                </div>-->


                <!--<div id="panel-remite">
                    <h4>Datos Remite</h4>
                    <div>

                        <table width="100%">
                            <tr class="ui-widget-header">                                    

                                <td>
                                    C&oacute;digo IPS
                                </td>

                                <td colspan="3">
                                    Nombre IPS
                                </td>

                            </tr>

                            <tr> 
                                <td>
                                    <table>
                                        <tr>
                                            <td>
                                                <input type="text" size="10" ondblclick="buscarPacienteCodigo()" maxlength="20" id="codigoipsrem" value=""/>
                                                <input type="hidden" id="idipsrem" name="idipsrem" value="" />

                                            </td>


                                            <td>                                        
                                                <img src="../common/img/user_search.png"  onclick="buscarPacienteCodigo()" style="cursor: pointer" alt="buscarPaciente" />                                                    
                                            </td>

                                            <td>
                                                <img src="../common/img/edit-clear.png" onclick="clearPacientecodigo()" style="cursor: pointer" alt="Eliminar" /> 
                                            </td>
                                        </tr>
                                    </table>
                                </td>


                                <td colspan="3">
                                    <input type="text" size="64" readonly="true" id="nombreipsrem" value="" />

                                </td>


                            </tr>


                            <tr class="ui-widget-header">                                  

                                <td>
                                    Identificaci&oacute;n / TD
                                </td>

                                <td>
                                    Nombre Completo
                                </td>

                                <td>
                                    Direcci&oacute;n
                                </td>

                                <td>
                                    Tel&eacute;fono
                                </td>

                            </tr>

                            <tr> 
                                <td>
                                    <table>
                                        <tr>
                                            <td>
                                                <input type="text" size="10" ondblclick="buscarPacienteCodigo()" maxlength="20" id="identificacionrem" value=""/>
                                                <input type="hidden" id="idrem" name="idpaciente" value="" />

                                            </td>

                                            <td>
                                                <select style="width: 120px" readonly ="true"  id="id_tipo_iderem" name="id_tipo_iderem" class="ui-widget-content"></select>
                                            </td>

                                            <td>                                        
                                                <img src="../common/img/user_search.png"  onclick="buscarPacienteCodigo()" style="cursor: pointer" alt="buscarPaciente" />                                                    
                                            </td>

                                            <td>
                                                <img src="../common/img/edit-clear.png" onclick="clearPacientecodigo()" style="cursor: pointer" alt="Eliminar" /> 
                                            </td>
                                        </tr>
                                    </table>
                                </td>


                                <td>
                                    <input type="text" size="34" readonly="true" id="nombresrem" value="" />

                                </td>

                                <td>
                                    <input type="text" size="12" readonly="true" id="direccionrem" value=""/>

                                </td>


                                <td>
                                    <input type="text" size="7" readonly="true" id="telefonorem" value=""/>

                                </td>

                            </tr>

                        </table>
                    </div>
                </div>-->




                <div id="acord_adm" style="display: none">                   



                    <h3><a href="#">Ingreso</a></h3>

                    <div id="lista-adm-ingreso"> 
                        <div>  
                            <table width="100%">

                                <tr class="ui-widget-header ">                            

                                    <td colspan="2">
                                        Via de Ingreso
                                    </td>

                                    <td> 
                                        Estado Ingreso
                                    </td> 

                                    <td colspan="2">
                                        Unidad Funcional
                                    </td>

                                    <td>
                                        Prioridad
                                    </td>         


                                </tr>
                                <tr>

                                    <td colspan="2">
                                        <select style="width: 230px" id="id_via" name="id_via" class="text ui-widget-content"></select>                          
                                    </td>


                                    <td>              
                                        <select style="width: 145px" id="id_estadoing" name="id_estadoing" class="text ui-widget-content"></select>
                                    </td>

                                    <td colspan="2">
                                        <select style="width: 146px" id="id_undfunc" name="id_undfunc" class="text ui-widget-content"></select>                          
                                    </td>

                                    <td>
                                        <select style="width: 196px" id="id_prioridad" name="id_prioridad" class="text ui-widget-content"></select>   
                                    </td>

                                </tr>
                            </table>  

                        </div>

                    </div>

                    <h3 class="ui-tabs-selected-amb"><a href="#">Ambulatoria</a></h3>   

                    <div id="lista-adm-ambulatoria" class="ui-tabs-selected-amb"> 
                        <div> 
                            <table width="100%"> 
                                <tr class="ui-widget-header">               

                                    <td>
                                        Tipo Cuota/ TD
                                    </td>

                                    <td>
                                        Valor cuota
                                    </td>   
                                    <td>
                                        Motivo Consulta
                                    </td>

                                </tr>
                                <tr>

                                    <td>                                        
                                        <select style="width: 256px" id="tipocuota" name="tipocuota" class="text ui-widget-content"></select>    
                                    </td>

                                    <td>
                                        <input type="text" size="20" id="valorcuota" name="valorcuota" value=""/>
                                    </td>

                                    <td>
                                        <input type="text" size="37" id="motivo_amb" name="notivo_amb" />
                                    </td>

                                </tr>

                            </table>  


                        </div>
                    </div>

                    <h3 class="ui-tabs-selected-urg"><a href="#"> urgencia</a></h3>   

                    <div id="lista-adm-urgencia" class="ui-tabs-selected-urg"> 
                        <div> 
                            <table width="100%">

                                <tr class="ui-widget-header">

                                    <td>
                                        Pabell&oacute;n
                                    </td>

                                    <td>
                                        Cuarto
                                    </td>

                                    <td>
                                        Cama
                                    </td>

                                    <td>
                                        Dependencia F.
                                    </td>



                                </tr>

                                <tr>

                                    <td>
                                        <select style="width: 230px" class="text ui-widget-content" id="pabelloningahu" name="pabelloningahu" value="0"></select>
                                    </td>

                                    <td>
                                        <select style="width: 145px" class="text ui-widget-content" id="cuartoingahu" name="cuartoingahu" value="0"></select>
                                    </td>

                                    <td>
                                        <select style="width: 146px" class="text ui-widget-content" id="camaingahu" name="camaingahu" value="0"></select>
                                    </td>

                                    <td>
                                        <select style="width: 196px" class="text ui-widget-content" id="iddependenciau" name="iddependenciau" value=""></select>
                                    </td>


                                </tr>
                                <tr class="ui-widget-header">
                                    <td>
                                        T. Urgencia
                                    </td>

                                    <td>
                                        Condici&oacute;n
                                    </td>

                                    <td>
                                        Tipo Cuota
                                    </td>

                                    <td>
                                        Valor cuota
                                    </td>   
                                </tr>
                                <tr>
                                    <td>
                                        <select style="width: 230px" class="text ui-widget-content" id="id_tipourg" name="id_tipourg" value=""></select>

                                    </td>

                                    <td>                                        
                                        <select style="width: 145px" id="idcondicion" name="idcondicion" class="text ui-widget-content"></select>    
                                    </td>

                                    <td>                                        
                                        <select style="width: 146px" id="tipocuota" name="tipocuota" class="text ui-widget-content"></select>    
                                    </td>

                                    <td>
                                        <input type="text" size="24" id="valorcuota" name="valorcuota" value=""/>
                                    </td>

                                </tr>

                            </table> 

                        </div>
                    </div>

                    <h3 class="ui-tabs-selected-hos"><a href="#">Hospitalizaci&oacute;n</a></h3>   

                    <div id="lista-adm-hospitalizacion" class="ui-tabs-selected-hos"> 
                        <div> 
                            <table width="100%">
                                <tr class="ui-widget-header"> 
                                    <td>
                                        T. Estancia
                                    </td>    

                                    <td>
                                        Pabell&oacute;n                                
                                    </td>

                                    <td>
                                        cuarto                                
                                    </td>                                        

                                    <td>
                                        Cama
                                    </td>

                                    <td>
                                        Dependencia F.
                                    </td>                            

                                </tr>

                                <tr>

                                    <td>
                                        <select style="width: 135px" class="text ui-widget-content" id="idtipoestancia" name="idtipoestancia" value=""></select>

                                    </td>   


                                    <td>
                                        <select style="width: 135px" class="text ui-widget-content" id="pabelloningah" name="pabelloningah" value="0"></select>
                                    </td>

                                    <td>
                                        <select style="width: 135px" class="text ui-widget-content" id="cuartoingah" name="cuartoingah" value="0"></select>
                                    </td>

                                    <td>
                                        <select style="width: 135px" class="text ui-widget-content" id="camaingah" name="camaingah" value="0"></select>
                                    </td>

                                    <td>
                                        <select style="width: 135px" class="text ui-widget-content" id="iddependencia" name="iddependencia" value=""></select>
                                    </td>

                                </tr>





                            </table> 
                        </div>
                    </div>


                    <h3><a href="#">Acompa&ntilde;ante</a></h3>   

                    <div id="lista-adm-acompanante"> 
                        <div> 
                            <table width="100%">

                                <tr class="ui-widget-header">                                    

                                    <td>
                                        Identificaci&oacute;n / TD
                                    </td>

                                    <td>
                                        Nombre Completo
                                    </td>

                                    <td>
                                        Direcci&oacute;n
                                    </td>

                                    <td>
                                        Tel&eacute;fono
                                    </td>

                                </tr>

                                <tr> 
                                    <td>
                                        <table>
                                            <tr>
                                                <td>
                                                    <input type="text" size="10" ondblclick="buscarPacienteCodigo()" maxlength="20" id="identificacionaco" value=""/>
                                                    <input type="hidden" id="idaco" name="idaco" value="" />

                                                </td>
                                                <td>

                                                    <select style="width: 120px" readonly ="true"  id="id_tipo_ideaco" name="id_tipo_ideaco" class="ui-widget-content"></select>

                                                </td>

                                                <td>                                        
                                                    <img src="../common/img/user_search.png"  onclick="buscarPacienteCodigo()" style="cursor: pointer" alt="buscarPaciente" />                                                    
                                                </td>

                                                <td>
                                                    <img src="../common/img/edit-clear.png" onclick="clearPacientecodigo()" style="cursor: pointer" alt="Eliminar" /> 
                                                </td>
                                            </tr>
                                        </table>
                                    </td>


                                    <td>
                                        <input type="text" size="30" readonly="true" id="nombresaco" value="" />

                                    </td>

                                    <td>
                                        <input type="text" size="12" readonly="true" id="direccionaco" value=""/>

                                    </td>


                                    <td>
                                        <input type="text" size="7" readonly="true" id="telefonoaco" value=""/>

                                    </td>

                                </tr>
                            </table>

                        </div>
                    </div>


                    <h3><a href="#">Remisi&oacute;n</a></h3>

                    <div id="lista-adm-remision"> 
                        <div>   
                            <table width="100%">
                                <tr class="ui-widget-header">                                    

                                    <td>
                                        C&oacute;digo IPS
                                    </td>

                                    <td colspan="3">
                                        Nombre IPS
                                    </td>

                                </tr>

                                <tr> 
                                    <td>
                                        <table>
                                            <tr>
                                                <td>
                                                    <input type="text" size="10" ondblclick="buscarPacienteCodigo()" maxlength="20" id="codigoipsrem" value=""/>
                                                    <input type="hidden" id="idipsrem" name="idipsrem" value="" />

                                                </td>


                                                <td>                                        
                                                    <img src="../common/img/user_search.png"  onclick="buscarPacienteCodigo()" style="cursor: pointer" alt="buscarPaciente" />                                                    
                                                </td>

                                                <td>
                                                    <img src="../common/img/edit-clear.png" onclick="clearPacientecodigo()" style="cursor: pointer" alt="Eliminar" /> 
                                                </td>
                                            </tr>
                                        </table>
                                    </td>


                                    <td colspan="3">
                                        <input type="text" size="60" readonly="true" id="nombreipsrem" value="" />

                                    </td>


                                </tr>


                                <tr class="ui-widget-header">                                  

                                    <td>
                                        Identificaci&oacute;n / TD
                                    </td>

                                    <td>
                                        Nombre Completo
                                    </td>

                                    <td>
                                        Direcci&oacute;n
                                    </td>

                                    <td>
                                        Tel&eacute;fono
                                    </td>

                                </tr>

                                <tr> 
                                    <td>
                                        <table>
                                            <tr>
                                                <td>
                                                    <input type="text" size="10" ondblclick="buscarPacienteCodigo()" maxlength="20" id="identificacionrem" value=""/>
                                                    <input type="hidden" id="idrem" name="idpaciente" value="" />

                                                </td>

                                                <td>
                                                    <select style="width: 120px" readonly ="true"  id="id_tipo_iderem" name="id_tipo_iderem" class="ui-widget-content"></select>
                                                </td>

                                                <td>                                        
                                                    <img src="../common/img/user_search.png"  onclick="buscarPacienteCodigo()" style="cursor: pointer" alt="buscarPaciente" />                                                    
                                                </td>

                                                <td>
                                                    <img src="../common/img/edit-clear.png" onclick="clearPacientecodigo()" style="cursor: pointer" alt="Eliminar" /> 
                                                </td>
                                            </tr>
                                        </table>
                                    </td>


                                    <td>
                                        <input type="text" size="30" readonly="true" id="nombresrem" value="" />

                                    </td>

                                    <td>
                                        <input type="text" size="12" readonly="true" id="direccionrem" value=""/>

                                    </td>


                                    <td>
                                        <input type="text" size="7" readonly="true" id="telefonorem" value=""/>

                                    </td>

                                </tr>

                            </table>
                        </div>
                    </div>


                </div>

            </div>


        </body>
    </f:view>
</html>
